SNF overlap
You must determine if the services were provided during the covered period of the SNF Part A stay or after the benefits...
Can a request for offset/recoupment be made at the same time I notify Medicare of an overpayment?
No. A request must be submitted in writing. Click here for instructions.
Duplicate reject/return to provider (RTP) reason code
Questions and answers regarding reasons for returned to provider (RTP) and rejected claims.
Indicating an anti-markup diagnostic service on a claim
Question and answer regarding the indication of an anti-markup diagnostic service on a claim.
MLN Connects for March 13, 2025
This edition includes information on the Medicare Shared Savings Program application deadlines, CHAMPVA claims, and more.
What modifiers apply to split or shared services?
Medicare evaluation and management (E/M) guidelines are now in effect regarding split or shared services. Here you can find a summary of these changes.
What modifiers apply to evaluation and management (E/M) services?
Learn information on evaluation and management (E/M) services including what modifiers to apply.
Where can I find information on correctly applying modifiers?
View our modifiers page for tips, decision flowcharts, and more.